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A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

A.

For long-term control of normal eye pressure.

B.

Until a smaller angle can be restored.

C.

For long-term control of pain and swelling.

D.

Until the excess pressure is reduced.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

For long-term control of normal eye pressure is the accurate response. Open-angle glaucoma is a chronic condition that requires ongoing treatment to maintain normal intraocular pressure and prevent further damage to the optic nerve. Eye drops are typically used for life to manage the condition.

 

Choice B rationale

 

Until a smaller angle can be restored is not accurate because open-angle glaucoma does not involve a change in the angle of the anterior chamber. The goal of treatment is to lower intraocular pressure, not to restore the angle.

 

Choice C rationale

 

For long-term control of pain and swelling is not accurate because open-angle glaucoma primarily involves increased intraocular pressure and optic nerve damage, not pain and swelling. The goal of treatment is to lower intraocular pressure.

 

Choice D rationale

 

Until the excess pressure is reduced is not accurate because open-angle glaucoma requires ongoing treatment to maintain normal intraocular pressure. Stopping treatment once pressure is reduced can lead to a recurrence of elevated pressure and further damage.


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Correct Answer is C

Explanation

Choice A rationale

Monitoring daily urine output volume is important for assessing fluid balance, but it does not directly address the issue of hypernatremia. Hypernatremia is characterized by high sodium levels in the blood, and monitoring urine output alone will not help in managing sodium intake or identifying sources of excess sodium.

Choice B rationale

Using salt tablets after strenuous exercise is not recommended for clients with hypernatremia. Salt tablets can increase sodium levels further, exacerbating the condition. Hypernatremia requires careful management of sodium intake, and salt tablets would be counterproductive.

Choice C rationale

Reviewing food labels for sodium content is crucial for clients with hypernatremia. This helps them identify and avoid foods high in sodium, which can contribute to elevated sodium levels in the blood. Educating clients on reading food labels empowers them to make informed dietary choices and manage their condition effectively.

Choice D rationale

Drinking plenty of water whenever thirsty is a general recommendation for maintaining hydration, but it does not specifically address hypernatremia. Clients with hypernatremia need to focus on managing their sodium intake and ensuring they do not consume excessive amounts of sodium.

Correct Answer is A

Explanation

Choice A rationale

Isolating the client from others is the most important action to prevent the spread of COVID-19. This includes isolating the client from other clients, family, and healthcare workers not wearing proper PPE2.

Choice B rationale

Reporting the COVID-19 result to the local health department is important but not the immediate priority. Isolation takes precedence to prevent transmission.

Choice C rationale

Teaching the client to wear a mask, hand wash, and social distance is essential but secondary to immediate isolation.

Choice D rationale

Counseling family members to monitor for symptoms is important but not the immediate priority. Isolation of the client is the first step.

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